Individual provider · Type 1 NPI
Pamela Ann Bonilla, LPC-21205
Professional Counselor · Phoenix, AZ
NPI number
1376261677
Active
Practice location
3200 N. Dobson Rd., Suite D3
Phoenix, AZ 85014-8501
Mailing address
651 N Val Vista Rd
Apache Junction, AZ 85119-8643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-21205 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1376261677
Pamela Ann Bonilla, LPC-21205's National Provider Identifier is 1376261677, issued on Aug 22, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 22, 2022.